Annual Insurer Financial Statement Filing Instructions

Traditional Insurance Company

2011 Vermont Annual Financial Statement Filing Instructions & Forms

Below are forms for the period ending December 31, 2011 and for the first three quarters of 2012 for insurance companies required by statute to file with the department. Included are forms for remitting Annual Statement Filings and license (or authorization) renewal fees.

Please note:

The instructions on this page do NOT apply to Vermont Captive Insurers or Foreign Risk Retention Groups. For annual filing instructions for Captive Insurers or Foreign Risk Retention and Risk Purchasing Groups, please click here.

INDEX OF 2011 FORMS FOR FILING IN 2012:

2011 - Section 1: General Instructions

2011 - Section 2: Annual Fee Calculation

2A - Annual Fees for L&H, P&C, Health, Reciprocals, and Title Insurers

2B - Annual Fees for Fraternal Benefit Societies

2C - Annual Fees for Foreign Accredited Reinsurers

2011 - Section 3: Health Care Administration Supplemental Filing

Also known as Annual Statement Supplement Report (ASSR)

2011 -Section 4: Vermont Mandatory Reporting (Liquor Liability Report)

2011 - Section 5: Checklists - 2011 Filings with Notes

5A - Life, Accident & Health

5B - Property & Casualty, and Reciprocals

5C - Health Entities (Insurers, HDMI's & HMO's)

5D - Title Insurers

5E - Fraternal Benefit Societies

5F - Foreign Surplus Lines Insurers - no longer required